<div class="tab-header">
    <div class="title">
        <i class="fa fa-bars"></i><span>风险结果管理</span>
    </div>
    <div class="tool">
        <button id="saveBtn" class="btn btn-default"><i class="fa fa-save"></i> 保存</button>
    </div>
</div>
<div class="single-panel">
    <form id="fxRiskResultForm" class="form-horizontal" >
        <div class="row">
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="province"><span class="requird">*</span>省</label>
                    <div class="col-md-8">
                        <select class="form-control easyui-combobox" id="province" name="province">
                            <option value="" disabled selected style='display:none;'>请选择</option>
                        </select>
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="city"><span class="requird">*</span>市</label>
                    <div class="col-md-8">
                        <select class="form-control easyui-combobox" id="city" name="city">
                            <option value="" disabled selected style='display:none;'>请选择</option>
                        </select>
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="area"><span class="requird">*</span>区</label>
                    <div class="col-md-8">
                        <select class="form-control easyui-combobox" id="area" name="area">
                            <option value="" disabled selected style='display:none;'>请选择</option>
                        </select>
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="economy"><span class="requird">*</span>经济</label>
                    <div class="col-md-8">
                        <input type="text" class="form-control" id="economy" name="economy" />
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="economyProbability"><span class="requird">*</span>经济概率</label>
                    <div class="col-md-8">
                        <input type="text" class="form-control" id="economyProbability" name="economyProbability" />
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="injuryPopulation"><span class="requird">*</span>受伤人口</label>
                    <div class="col-md-8">
                        <input type="text" class="form-control" id="injuryPopulation" name="injuryPopulation" />
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="injuryProbability"><span class="requird">*</span>受伤人口概率</label>
                    <div class="col-md-8">
                        <input type="text" class="form-control" id="injuryProbability" name="injuryProbability" />
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="deathPopulation"><span class="requird">*</span>死亡人口</label>
                    <div class="col-md-8">
                        <input type="text" class="form-control" id="deathPopulation" name="deathPopulation" />
                    </div>
                </div>
            </div>
            <div class="col-md-6 form-horizontal">
                <div class="form-group">
                    <label class="col-md-4 control-label" for="deathProbability"><span class="requird">*</span>死亡人口概率</label>
                    <div class="col-md-8">
                        <input type="text" class="form-control" id="deathProbability" name="deathProbability" />
                    </div>
                </div>
            </div>
            <input type="hidden" id="isValid" name="isValid" />
            <input type="hidden" id="updateTime" name="updateTime" />
            <input type="hidden" id="updateUser" name="updateUser" />
            <input type="hidden" id="createTime" name="createTime" />
            <input type="hidden" id="id" name="id" />
            <input type="hidden" id="createUser" name="createUser" />
            <input type="hidden" id="objectCode" name="objectCode" />
            <input type="hidden" id="partitionFlag" name="partitionFlag" />
        </div>
    </form>
</div>
